Jillian Lake
NPI #1023628724 in Des Moines, Iowa
Provider Information
- NPI Number
- 1023628724
- Entity Type
- Individual
- Name
- Jillian Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 6, 2020
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 808 5TH AVE
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50309-1307
- Phone
- (515) 244-2267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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